[Facial palsy in children]. / Paralysie faciale chez l'enfant.
Ann Chir Plast Esthet
; 61(5): 513-518, 2016 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-27637411
ABSTRACT
Facial palsy (FP) in children is congenital or acquired. When present at birth (congenital), etiologies are mostly traumatic and rarely developmental. Acquired FP needs investigation. Research on the etiology helps to determine prognostic and treatment. At most times, no specific cause is found. Treatment of idiopathic FP consists of early oral corticosteroid therapy and ocular protection. Treating the sequelae is essential and the physician has to consider the dynamic balance of both sides of the face. Dynamic rehabilitation should mainly concern the inferior facial third. We recommend the lengthening temporalis myoplasty (LTM). This relevant technique ensures replicable and reliable results with a harmonious smile. Facial dynamic rehabilitation after surgical procedure (muscle tranfer or free muscle flap) must be directed toward control of voluntary movement, to move from a mandibular smile to a spontaneous and voluntary smile, thanks to brain plasticity. Furthermore, botulinum toxin is well tolerated and remains a great tool to treat a child who can support injections.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Parálisis Facial
Tipo de estudio:
Etiology_studies
Límite:
Child
/
Humans
Idioma:
Fr
Revista:
Ann Chir Plast Esthet
Año:
2016
Tipo del documento:
Article